Provider Demographics
NPI:1578954400
Name:SHIPNER, JULIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SHIPNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5779 BRAINERD RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-4011
Mailing Address - Country:US
Mailing Address - Phone:423-800-7500
Mailing Address - Fax:423-800-7501
Practice Address - Street 1:5779 BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-4011
Practice Address - Country:US
Practice Address - Phone:423-800-7500
Practice Address - Fax:423-800-7501
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-13
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPTA0000005773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist